We are looking to fill 3 positions that are responsible for insurance verification, obtaining referrals and pre certifications and a good knowledge of professional institutional claims processing. Employee be required to fill in or help in other areas as required by the Manager.
Education and Experience:
· High School Diploma or equivalent
· Two years minimum experience in medical office, insurance experience preferred.
· Medical Coding experience preferred.
· Knowledge of ModMed PM System- a plus.
Essential Skills and Abilities:
· Excellent communication skills, written and oral.
· Strong organizational skills with attention to detail.
· Excellent follow-up skills.
· Management of multiple tasks simultaneously.
· Ability to work as a team player.
Responsibilities:
· Obtain pre-certifications and predeterminations for upcoming procedures.
Accurately post ACH, CC and check payments.
Scrub claims for accurate coding before submission to payers
Billing accordingly to payer either on 1500 form or UB
· Verifies and requests referrals as required by insurance companies.
· Processing claims, read EOB's and understand coordination of benefits
· Enter referral information and scan it into EHR.
· Check email; internal messaging system as well as surgery schedule for add-ons.
· Document patient account as necessary with referral/pre-cert information.
· Help fill in for benefits and eligibility and other task as needed.
Job Type: Full-time
Pay: $17.00 - $22.00 per hour
Expected hours: 40 per week
Benefits:
Schedule:
Ability to Relocate:
Work Location: In person
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